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Definition:-
Viruses are the smallest infectious agents
(20-300 nm in diameter), containing one kind
of nucleic acid (RNA or DNA) in their
genome. The nucleic acid is encased in a
protein coat, which may be
surrounded by a lipid envelope.
The entire infectious unit
is termed a virion.
Viruses are inert in the extracellular
parasites.
Non-enveloped enveloped
1
2
• All DNA viruses are unenveloped (naked)except 1
• All DNA viruses are double stranded except 2 1
• All DNA viruses replicate in the nucleus except poxvirus
CLASSIFICATION OF VIRUSES
2- Penetration:
After binding, virus particle is either taken up
inside the cell by a process of endocytosis
within endosomes or directly penetrate
across the plasma membrane.
3- Uncoating:
It occurs shortly after penetration of the
virus. It is a physical separation of the viral
nucleic acid from its outer components.
The genome may be released as free
nucleic acid or as nucleocapsid. The
nucleocapsid usually contains viral
polymerases, essential for synthesis of
viral components. Uncoating requires
some cellular enzymes.
4- Eclipse:
Is the period after penetration during which no
infectious virus components can be detected
inside the host cell. During this phase, the cell is
redirected toward synthesizing early proteins
(enzymes) which are essential for viral replication.
5- Intracellular synthesis:
The first step is mRNA synthesis. Once viral
mRNA is synthesized, it is translated by host cell
ribosomes and tRNA into viral proteins which are
early proteins and late proteins (structural
proteins).
Replication of viral genome depends on
complementarity i.e. a complementary
strand to the viral genome is synthesized,
this strand then serves as the template for
the synthesis of the actual viral genome
(enzymes required for replication of viral
genome) .
5- Assembly and Release:
The progeny particles are assembled by
packaging the viral nucleic acid within the
capsid protein. Virus particles are released
from the cell by either of two processes:-
a- Rupture of the cell membrane and
release of the unenveloped particles.
b- Release of enveloped viruses by budding
through the outer cell membrane.
PATHOGENESIS OF VIRUS INFECTIONS
Viruses should reach a susceptible cell before they
can produce disease. Therefore, they should have:
1- Portal of entry; namely the respiratory tract, gastro-
intestinal tract skin, urogenital tract or conjunctiva.
2- A pathway through the body; namely the blood, the
lymphatics or the nerves.
3- A target organ which may be CNS, skin, liver..
Viruses may produce local or systemic infections
which may reach the full blown picture or more
commonly end in a subclinical form. Some viruses
persist.
I- Local infections :
Infection occur at the portal of entry with no viraemia :
- Influenza and common cold at the mucous
membrane of the respiratory tract.
- Rotavirus infection at the GIT causing diarrhoea.
- Papilloma virus infection of the skin causing human
warts.
Local infections are characterized by:
1- Short incubation period.
2- Short lasting immunity mediated by IgA and
interferon.
II- Systemic infections:
After primary replication at the site of entry , the virus
travels through the blood or lymphatics causing
viraemia, or through the nerves to reach a target
organ that has specific receptors for the virus.
Systemic infections are characterized by:
1- Long incubation period.
2- Long lasting immunity mediated by IgG and IgM.
3- Infection can be stopped at the viraemic stage by
immune mechanisms (neutralizing antibodies).
This leads to subclinical or abortive infection.
4- Gamma globulins given to contacts of a case may
abort infection if given during the incubation
period before the viraemic stage.
Ill- Persistent viral infections:
Sometimes viruses persist for a long time in the host
in one of the following forms:
a- Chronic infections in which the virus can be
continuously detected with no or mild symptoms
e.g. hepatitis B chronic carriers.
b- Latent infections in which the virus persists
hidden most of the time, with periodic
reactivation and development of clinical
lesions containing the virus e.g. herpes
simplex virus infections.
c- ”SIow virus” infections: These have a very long
incubation period of months or years with no
clinical symptoms e.g. HIV and other prions as
mad cow disease
Laboratory diagnosis of viral
infections:
A. Direct detection of viruses, their antigens, or
their nucleic acids in clinical specimens.
1)Ultrastructural studies:
• physical measurements of virus
particles:Determinations of their size by
filteration through colloidal membranes of
various pore sizes
• chemical investigation:Determine the overall
composition of viruses
2)light microscopy :
6)solid-phase immunoassays:
• Animal inoculation
• Chick embryo
C.Serological detection of antiviral
antibodies:
• The antibody response to a viral infection
normally starts with the relatively transient
production of IGm followed by a long
lasting production of IGg . So a specific
IGM can be taken as a sign of recent
infection.
• Various serological methods for viruses
include:
• Haemagglutination inhibition tests of
red blood cells e.g. influenza virus.
• Radioimmunoassay.
• Immunofluorescence.
• ELISA.
1-nucleoside analogs:
Figure 20.16b, c
2- nucleotide analogs:
they differ from the nucleoside analogs in
having an attached phosphate group.
Their ability to persist in cells for long
periods of time increases their potency
e.g. cidofovir.
3-non nucleoside reverse
transcriptase inhibitors:
They act by binding directly to reverse
transcriptase and disrupt the enzyme
catalytic site e.g. Nevirapine.
4- protease inhibitor:
such drugs inhibit the viral protease that is
required at the late stage of replicative
cycle. Inhibition of protease yields non
infectious virus particles e.g. Saquinavir
used for treatment of HIV infection.
5- other types antiviral agents:
-Ribavirin:
- Synthetic nucleotide effective against many
DNA & RNA viruses